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Pediatric Epilepsy W/WO – Surgical Planning (Smaller Patients) 3T

Siemens Healthineers – MR Gadopiclenol (VUEWAY®) Protocols

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Instructions And Patient Preparation

Instructions
Position the head in the head coil and immobilize with cushions
Give cushions under the legs for extra comfort
Connect the anterior portion of the head coil and secure it in place.
Sedation vs bundle and feed is the ordering provider’s decision
Common Indications
Seizure
Epilepsy
Position
Head First
Supine
Coil
Head Coil 20ch
Landmark
Center over the glabella
Patient Population
These protocols are intended for smaller patients and serve as starting points. If a smaller FOV is needed, the parameters are modified accordingly.
AX DTI
We would perform the DTI only if it’s requested

Contrast Agent Parameters

Contrast Agent Dose Injection Rate Dose Timing Method and Scan Delay
Gadopiclenol (VUEWAY) 0.1 mL/kg Hand injected Post-contrast series acquired after gadolinium administration

Imaging Parameters

Scan Description AAhead_scout SAG
MPRAGE
3D
SAG
T2
3D
SPACE
STEALTH
SAG
3D
T2
FLAIR
AX
T2WI
(3mm)
DRB
AX
T2
FLAIR
DRB
AX
DWI
AX
DTI
AX
SWI
COR
T2WI
(2mm)
DRB
POST
SAG
MPRAGE
3D
POST
AX
T2
FLAIR
DRB
    View Image   View Image View Image View Image View Image   View Image View Image View Image View Image
Sequence Name fl tfl spcR spcir tseR tir epse epse swi_r tse tfl tir
Dimension 3D 3D 3D 3D 2D 2D 2D 2D 3D 2D 3D 2D
Acceleration mode GRAPPA GRAPPA CAIPIRINHA GRAPPA GRAPPA GRAPPA SMS SMS GRAPPA GRAPPA GRAPPA GRAPPA
Total Factor ― ― 4 2 ― ― ― ― ― ― ― ―
Acceleration Factor PE 3 2 2 2 3 3 2 2 2 3 2 3
Acceleration Factor 3D 1 1 2 1 ― ― ― ― 1 ― 1 ―
Reference Lines PE 24 64 24 24 40 52 30 34 24 26 64 52
Reference Scans Integrated GRE/Separate Integrated Integrated Integrated Integrated EPI/Separate EPI/Separate Integrated Integrated GRE/Separate Integrated
Deep Resolve ― ― ― ― On On Off Off Off On ― On

Scan Parameters

Scan Description AAhead_scout SAG
MPRAGE
3D
SAG
T2
3D
SPACE
STEALTH
SAG
3D
T2
FLAIR
AX
T2WI
(3mm)
DRB
AX
T2
FLAIR
DRB
AX
DWI
AX
DTI
AX
SWI
COR
T2WI
(2mm)
DRB
POST
SAG
MPRAGE
3D
POST
AX
T2
FLAIR
DRB
TR 3.15 ms 2500.0 ms 3200.0 ms 5000.0 ms 4000.0 ms 9000.0 ms 3200.0 ms 4100.0 ms 27.0 ms 5500.0 ms 2500.0 ms 9000.0 ms
TE 1.37 ms 3.87 ms 401.00 ms 385.00 ms 106.00 ms 126.00 ms 87.00 ms 89.00 ms 20.00 ms 111.00 ms 3.87 ms 126.00 ms
TI ― 1240 ms ― 1800 ms ― 2500 ms ― ― ― ― 1240 ms 2500 ms
Flip Angle 8 deg 8 deg T2 Var T2 Var 160 deg 150 deg ― ― 15 deg 150 deg 8 deg 150 deg
Bandwidth 540 Hz/Px 170 Hz/Px 657 Hz/Px 668 Hz/Px 241 Hz/Px 289 Hz/Px 1540 Hz/Px 1330 Hz/Px 120 Hz/Px 266 Hz/Px 170 Hz/Px 289 Hz/Px
Turbo Factor ― 224 282 278 15 21 ― ― ― 17 224 21
Echo Spacing ― 9.06 ms 3.78 ms 3.74 ms 9.60 ms 9.02 ms 0.94 ms 0.94 ms ― 11.1 ms 9.06 ms 9.02 ms
Echo Trains per Slice ― ― ― ― 12 7 ― ― ― 10 ― 7
EPI Factor ― ― ― ― ― ― 112 114 ― ― ― ―
Gradient Mode Normal Normal Fast Fast Fast Fast Fast* Fast Normal Fast Normal Fast
RF Pulse Type Fast Normal Normal Normal Normal Normal Normal Normal Fast Normal Normal Normal
RF Spoiling On On ― ― ― ― ― ― On ― On ―
Asymmetric Echo Weak Off ― ― ― ― ― ― Off ― Off ―
Flow Compensation ― None None None None None ― ― On None None None
Reduce Motion Sens. ― ― ― ― On On ― ― ― On ― On
Phase Correction ― ― ― ― Automatic Automatic External Internal ― Automatic ― Automatic

Contrast & Magnetization

Scan Description AAhead_scout SAG
MPRAGE
3D
SAG
T2
3D
SPACE
STEALTH
SAG
3D
T2
FLAIR
AX
T2WI
(3mm)
DRB
AX
T2
FLAIR
DRB
AX
DWI
AX
DTI
AX
SWI
COR
T2WI
(2mm)
DRB
POST
SAG
MPRAGE
3D
POST
AX
T2
FLAIR
DRB
Fat-Water Contrast Standard Standard Standard Fat Saturation Standard Fat Saturation Fat Saturation Fat Saturation Standard Standard Standard Fat Saturation
Fat Saturation ― ― ― Strong ― Strong Strong Strong ― ― ― Strong
Magn. Preparation ― Non-sel. IR None Non-sel. T2-IR None Slice-sel. IR None None None None Non-sel. IR Slice-sel. IR
MTC ― ― Off Off Off Off Off Off Off Off ― Off
Dark Blood ― Off Off Off Off Off ― ― Off Off Off Off
Contrasts 1 1 ― ― 1 1 ― ― 1 1 1 1
Reconstruction Magnitude Magnitude Magnitude Magnitude Magnitude Magnitude Magnitude Magnitude Magn./Phase Magnitude Magnitude Magnitude
Wrap-up Magn. ― ― Restore None Restore None ― ― ― None ― None

Acquisition Parameters

Scan Description AAhead_scout SAG
MPRAGE
3D
SAG
T2
3D
SPACE
STEALTH
SAG
3D
T2
FLAIR
AX
T2WI
(3mm)
DRB
AX
T2
FLAIR
DRB
AX
DWI
AX
DTI
AX
SWI
COR
T2WI
(2mm)
DRB
POST
SAG
MPRAGE
3D
POST
AX
T2
FLAIR
DRB
Base Resolution 160 224 224 288 384 320 112 114 256 384 224 320
Phase Resolution 100 % 100 % 100 % 100 % 80 % 70 % 100 % 100 % 96 % 80 % 100 % 70 %
Slice Resolution 69 % 100 % 100 % 100 % ― ― ― ― 100 % ― 100 % ―
Averages 1 1 2.0 1.0 1 1 ― ― 1 1 1 1
Concatenations 1 1 1 1 2 2 1 1 1 3 1 2
FoV Read 260 mm 200 mm 200 mm 250 mm 180 mm 180 mm 180 mm 180 mm 180 mm 160 mm 200 mm 180 mm
FoV Phase 100.0 % 100.0 % 100.0 % 100.0 % 100.0 % 100.0 % 100.0 % 100.0 % 100.0 % 100.0 % 100.0 % 100.0 %
Phase Encoding Dir. A >> P A >> P A >> P A >> P R >> L R >> L A >> P A >> P R >> L R >> L A >> P R >> L
Phase Oversampling 0 % 0 % 0 % 0 % 50 % 50 % 0 % 0 % 0 % 50 % 0 % 50 %
Slice Oversampling 0.0 % 7.7 % 8.3 % 0.0 % ― ― ― ― 10.0 % ― 7.7 % ―
Phase Partial Fourier 6/8 Off Off Allowed Off Off 7/8 6/8 7/8 Off Off Off
Slice Partial Fourier 6/8 Off Off 7/8 ― ― ― ― 7/8 ― Off ―
Interpolation ― On On On On On On Off Off On On On
Trajectory Cartesian ― ― ― ― ― ― ― ― ― ― ―
Multi-Slice Mode Sequential Single Shot ― ― Interleaved Interleaved Interleaved Interleaved Interleaved Interleaved Single Shot Interleaved

Scanning Range

Scan Description AAhead_scout SAG
MPRAGE
3D
SAG
T2
3D
SPACE
STEALTH
SAG
3D
T2
FLAIR
AX
T2WI
(3mm)
DRB
AX
T2
FLAIR
DRB
AX
DWI
AX
DTI
AX
SWI
COR
T2WI
(2mm)
DRB
POST
SAG
MPRAGE
3D
POST
AX
T2
FLAIR
DRB
Slice Thickness 1.6 mm 0.90 mm 0.90 mm 0.90 mm 3.0 mm 4.0 mm 4.0 mm 1.8 mm 1.50 mm 2.0 mm 0.90 mm 4.0 mm
Slices 128 Slices
per Slab
208 Slices
per Slab
192 Slices
per Slab
192 Slices
per Slab
50 Slices 34 Slices 34 Slices 62 Slices 80 Slices
per Slab
80 Slices 208 Slices
per Slab
34 Slices
Distance Factor 20 % 50 % ― ― 10 % 10 % 10 % 0 % 20 % 10 % 50 % 10 %
Special Saturation ― ― None None None None None None None None ― None
Raw Filter Off Off On On Off Off Off Off Off Off Off Off
Elliptical Filter Off Off Off Off Off Off Off Off Off Off Off Off
Image Filter Off On Off Off Off Off ― ― Off Off On Off
Distortion Correction 3D 2D 2D 2D 2D 2D Off Off 2D 2D 2D 2D
Normalize Prescan Prescan Prescan Prescan Prescan Prescan Prescan Prescan Prescan Prescan Prescan Prescan
Noise Masking Off ― ― ― ― ― Off Off ― ― ― ―
Time of Acquisition 14 sec 4:52 min 4:40 min 7:57 min 1:46 min 2:26 min 3:20 min 7:20 min 4:11 min 3:03 min 4:52 min 2:26 min

Diffusion

Scan Description AAhead_scout SAG
MPRAGE
3D
SAG
T2
3D
SPACE
STEALTH
SAG
3D
T2
FLAIR
AX
T2WI
(3mm)
DRB
AX
T2
FLAIR
DRB
AX
DWI
AX
DTI
AX
SWI
COR
T2WI
(2mm)
DRB
POST
SAG
MPRAGE
3D
POST
AX
T2
FLAIR
DRB
Diffusion Mode ― ― ― ― ― ― MDDW MDDW ― ― ― ―
Diffusion Scheme ― ― ― ― ― ― Monopolar Monopolar ― ― ― ―
Diff. Directions ― ― ― ― ― ― 6 30 ― ― ― ―
b-value 1 ― ― ― ― ― ― 0 s/mm² 0 s/mm² ― ― ― ―
b-value 2 ― ― ― ― ― ― 1000 s/mm² 1000 s/mm² ― ― ― ―
Averages b-value 1 ― ― ― ― ― ― 1 12 ― ― ― ―
Averages b-value 2 ― ― ― ― ― ― 3 3 ― ― ― ―
Diff. Weightings ― ― ― ― ― ― 3 2 ― ― ― ―
Diff. Weighted Images ― ― ― ― ― ― Off On ― ― ― ―
Trace Weighted Images ― ― ― ― ― ― On On ― ― ― ―
ADC Maps ― ― ― ― ― ― On On ― ― ― ―
Exponential ADC Maps ― ― ― ― ― ― Off Off ― ― ― ―
FA Maps ― ― ― ― ― ― On On ― ― ― ―
Calculated Image ― ― ― ― ― ― Off Off ― ― ― ―